| NPI | 1073960795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-7003) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC - 6171) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-08-13 |